| Regimental number | 4795 |
| Place of birth | Leek England |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | Wollongong, New South Wales |
| Marital status | Single |
| Age at embarkation | 19 |
| Next of kin | Mother, Mrs Cecilia clark, 67 Plant Street, Cheadle, Staffordshire, England |
| Enlistment date | 17 August 1917 |
| Rank on enlistment | Private |
| Unit name | 1st Pioneer Battalion, 14th Reinforcement |
| AWM Embarkation Roll number | 14/13/5 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
